World J Gastrointest Endosc. Jul 16, 2024; 16(7): 376-384 Published online Jul 16, 2024. doi: 10.4253/wjge.v16.i7.376
Advancements in endoscopic hemostasis for non-variceal upper gastrointestinal bleeding
Xue Jing Li, Brian M Fung
Xue Jing Li, Department of Gastroenterology and Hepatology, Banner-University Medical Center Phoenix, Phoenix, AZ 85006, United States
Brian M Fung, Department of Gastroenterology, Arizona Digestive Health, Mesa, AZ 85210, United States
Author contributions: Li XJ drafted the manuscript and prepared figures and tables; Fung BM designed the manuscript outline, prepared figures, and critically reviewed the manuscript. All authors provided critical input and approved the final version of the manuscript.
Conflict-of-interest statement: The authors have no conflicts of interest.
Corresponding author: Brian M Fung, MD, Doctor, Department of Gastroenterology, Arizona Digestive Health, 603 W Baseline Rd, Ste 200, Mesa, AZ 85210, United States. brianfung@outlook.com
Received: March 27, 2024 Revised: June 6, 2024 Accepted: June 26, 2024 Published online: July 16, 2024 Processing time: 103 Days and 3.7 Hours
Abstract
Non-variceal upper gastrointestinal (GI) bleeding is a significant cause of morbidity and mortality. Traditionally, through-the-scope (TTS) clips, thermal therapy, and injection therapies are used to treat GI bleeding. In this review, we provide an overview of novel endoscopic treatments that can be used to achieve hemostasis. Specifically, we discuss the efficacy and applicability of over-the-scope clips, hemostatic agents, TTS doppler ultrasound, and endoscopic ultrasound, each of which offer an effective method of reducing rates of GI rebleeding.
Core Tip: Non-variceal upper gastrointestinal bleeding is a significant cause of morbidity and mortality. In this review, we provide an overview of novel endoscopic treatments that can be used to achieve hemostasis. Specifically, we discuss the efficacy and applicability of over-the-scope clips, hemostatic agents, and adjunctive tools such as through-the-scope doppler ultrasound and endoscopic ultrasound.
